KRISTA CONDON (NPI# 1952864530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952864530 |
| Entity Type | Individual |
| Full Name | KRISTA CONDON |
| Other Name | KRISTA JOHNSON |
| Practice Address |
1099 Jay St Bldg J Rochester NY 14611-1153 |
| Mailing Address |
1099 Jay St Bldg P Rochester NY 14611-1164 |
| Practice Telephone | 5853280740 |
| Mailing Telephone | 5853280740 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1099 JAY ST BLDG J |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14611-1153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548716186 | Lindsay Fahey | Counselor | 1099 Jay St Bldg J, Rochester, NY 14611-1153 | 2016-09-01 |
| 1033759170 | Lindsay Bushnell | Social Worker | 1099 Jay St Bldg J, Rochester, NY 14611-1153 | 2020-01-07 |
| 1104463629 | Matthew Shepherd Lamb | Counselor | 1099 Jay St Bldg J, Rochester, NY 14611-1153 | 2019-12-03 |
| 1326501917 | Shannon Zielinski | Peer Specialist | 1099 Jay St Bldg J, Rochester, NY 14611-1153 | 2019-04-10 |
| 1740763820 | Meghann Postgate | Registered Nurse | 1099 Jay St Bldg J, Rochester, NY 14611-1153 | 2018-09-13 |
| 1407335227 | Meredith Kahl | Counselor | 1099 Jay St Bldg J, Rochester, NY 14611-1153 | 2018-08-13 |
| 1457839045 | Nicole Hall | Counselor | 1099 Jay St Bldg J, Rochester, NY 14611-1153 | 2018-08-06 |
| 1619455003 | Jasmin Dzaferovic | Counselor | 1099 Jay St Bldg J, Rochester, NY 14611-1153 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113874 | Brittany Desiree' James | Counselor | 601 Genesee Street, Rochester, NY 14611 | 2019-09-18 |
| 1629554456 | Burnagie Tafari Webbe | Licensed Practical Nurse | 49 Judson St, Rochester, NY 14611 | 2018-07-16 |
| 1194223917 | Caitlin Mucenski | Registered Nurse | 1099 Jay Street, Building J, Suite 202, Rochester, NY 14611 | 2018-01-26 |
| 1093233579 | Brittany Theresa Filip | Speech-Language Pathologist | Brittany Filip At Lincoln Park School No. 44, 820 Chili Avenue, Rochester, NY 14611 | 2017-09-05 |
| 1629591326 | Stacey D Mccloud | Licensed Practical Nurse | 55 Garfield St, Rochester, NY 14611 | 2017-07-25 |
| 1245685619 | Lilt Home Care | Home Health | 803 West Avenue, 353, Rochester, NY 14611 | 2016-05-04 |
| 1639539844 | Petrica Rouse | Dentist | 89 Genesee St Fl 2, Rochester, NY 14611 | 2016-03-01 |
| 1558737304 | People Inc. | Case Management | 835 W. Main Street, Rochester, NY 14611 | 2015-08-17 |
| 1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
| 1538567599 | Caring Hands Adl Inc | Home Health | 218 Garfield St., Rochester, NY 14611 | 2014-12-08 |
| Find all providers in zip 14611 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1487292793 | Robert Lee | Peer Specialist | 835 West Main St, Rochester, NY 14611-2335 | 2019-12-17 |
| 1811534670 | Christopher J Clase | Peer Specialist | 3 Stonewood Park Apt D, Rochester, NY 14616-3628 | 2019-11-28 |
| 1467011320 | Vinnie Dunnell Williams | Peer Specialist | 73 Brookfield Rd, Rochester, NY 14610-1015 | 2019-06-13 |
| 1881185122 | Tammy J Demarle | Peer Specialist | 320 N Goodman St Ste 202, Rochester, NY 14607-1186 | 2018-05-22 |
| 1912497223 | Lorrie Boyce | Peer Specialist | 344 N Goodman St, Rochester, NY 14607-1146 | 2018-05-11 |
| 1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
| 1366950164 | Tina Amico | Peer Specialist | 687 Lee Rd Ste 185c, Rochester, NY 14606-4258 | 2018-01-15 |
| 1982211850 | Sharon Thaxton | Peer Specialist | 835 W Main St, Rochester, NY 14611-2335 | 2020-09-25 |
| 1932710308 | Megan B Smith | Peer Specialist | 1 Mustard St, Rochester, NY 14609-6980 | 2020-08-11 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on KRISTA CONDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.